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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Technology for the prevention of antimicrobial resistance and healthcare-associated infections; 2017 Geneva IPC-Think Tank (Part 2)
Antimicrobial Resistance and Infection Control, Volume 8, No. 1, Article 83, Year 2019
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Description
Background: The high burden of healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) is partially due to excessive antimicrobial use both in human and animal medicine worldwide. How can technology help to overcome challenges in infection prevention and control (IPC) and to prevent HAI and emerging AMR? Methods: In June 2017, 42 international experts convened in Geneva, Switzerland to discuss four potential domains of technology in IPC and AMR: 1) role and potential contribution of microbiome research; 2) whole genome sequencing; 3) effectiveness and benefit of antimicrobial environmental surfaces; and 4) future research in hand hygiene. Results: Research on the microbiome could expand understanding of antimicrobial use and also the role of probiotics or even faecal transplantation for therapeutic purposes. Whole genome sequencing will provide new insights in modes of transmission of infectious diseases. Although it is a powerful tool for public health epidemiology, some challenges with interpretation and costs still need to be addressed. The effectiveness and cost-effectiveness of antimicrobially coated or treated environmental high-touch surfaces requires further research before they can be recommended for routine use. Hand hygiene implementation can be advanced, where technological enhancement of surveillance, technique and compliance are coupled with reminders for healthcare professionals. Conclusions: The four domains of technological innovation contribute to the prevention of HAI and AMR at different levels. Microbiome research may offer innovative concepts for future prevention, whole genome sequencing could detect new modes of transmission and become an additional tool for effective public health epidemiology, antimicrobial surfaces might help to decrease the environment as source of transmission but continue to raise more questions than answers, and technological innovation may have a role in improving surveillance approaches and supporting best practice in hand hygiene. © 2019 The Author(s).
Authors & Co-Authors
Zingg, Walter
Switzerland, Geneva
Organisation Mondiale de la Santé
Park, Benjamin J.
United States, Atlanta
Centers for Disease Control and Prevention
Storr, Julie Ann
Switzerland, Geneva
Organisation Mondiale de la Santé
Ahmad, Raheelah
United Kingdom, Royston
National Institute for Health and Care Research
Tarrant, Carolyn
United Kingdom, Leicester
University of Leicester
Castro-Sánchez, Enrique
United Kingdom, Royston
National Institute for Health and Care Research
Perencevich, Eli N.
United States, Iowa City
University of Iowa
Widmer, Andréas Franz X.
Switzerland, Basel
Universitätsspital Basel
Krause, Karl Heinz
Switzerland, Geneva
Université de Genève
Kilpatrick, Claire
Switzerland, Geneva
Organisation Mondiale de la Santé
Tomczyk, Sara M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Allegranzi, Benedetta
Switzerland, Geneva
Organisation Mondiale de la Santé
Pittet, Didier
Switzerland, Geneva
Organisation Mondiale de la Santé
Andremont, Antoine O.
Unknown Affiliation
Bell, Michael R.
Unknown Affiliation
Borg, Michael A.
Unknown Affiliation
Carmeli, Yehuda S.
Unknown Affiliation
Conly, John M.
Unknown Affiliation
Eggimann, Philippe
Unknown Affiliation
Gastmeier, Petra
Unknown Affiliation
Grayson, Michael Lindsay
Unknown Affiliation
Harbarth, Stéphan Jürgen
Unknown Affiliation
Holmes, Alison Helen
Unknown Affiliation
Jernigan, John A.
Unknown Affiliation
Kolwaite, Amy R.
Unknown Affiliation
Larson, Elaine Lucille
Unknown Affiliation
Masson-Roy, Sarah
Unknown Affiliation
Mehtar, Shaheen
Unknown Affiliation
Mendelson, Marc
Unknown Affiliation
Monnet, Dominique L.
Unknown Affiliation
Ndoye, Babacar C.
Unknown Affiliation
Nthumba, Peter Muli
Unknown Affiliation
Ogunsola, F. T.
Unknown Affiliation
Samore, Matthew H.
Unknown Affiliation
Seto, Winghong
Unknown Affiliation
Srinivasan, Arjun R.
Unknown Affiliation
Tacconelli, Evelina
Unknown Affiliation
Talaat, Maha M.
Unknown Affiliation
Villegas, María Virginia
Unknown Affiliation
Voss, Andreas
Unknown Affiliation
Walsh, Timothy R.
Unknown Affiliation
Statistics
Citations: 6
Authors: 41
Affiliations: 7
Identifiers
Doi:
10.1186/s13756-019-0538-y
ISSN:
20472994
Research Areas
Health System And Policy